HomeMy WebLinkAbout0139998-Plumbing (g) CITY OF OSHKOSH No 139998
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 207 S SAWYER ST Owner LILLIAN M SCHETTLE LIFE ESTATE Create Date 03/09/2010
Contractor KOCH PLUMBING Category 412 - Res - Interior (New /Relocated Fixtures) Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower 1 Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump Fir/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink 1 Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher 1 Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use /Nature SFR / Interior remodel * *to include replacing gas water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0607910000
Valuation $1,800.00 Plan Approval $0.00 Permit Fees $28.00 ❑ Permit Voided
Issued By 0/)'7172-} Date 03/09/2010
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920 - 231 -6661 or 235
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
r 09 10 01:51p Clarence Koch (920) 235 -0282 p.l
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
( D
Phone: (920) 236 -5050
Fax: (920) 236-5084 CYFIC� I
Permit ON THE WAr €e
Plumbing it Application
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter descr the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to
54903 -1128. Commencing work without permit(s) will result in fees being doubled o or 8100.00 plus thn g dou 1128, ce, which
ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adeauatejunds, check here
if you want this processed throgcgh vour account fl
** Advisory - For applicable projects, an Electrical Installation V r ficatioa
Contractor or Homeowner (for installations allowed to be ��_ form, signed by the Electrical
with the permit application. Applications submitted without an EIV when such is re ill must w ill l submitted
processed for Permit Issuance and will be returned for completion. gatred, w not be
Job Address 2477 S scrw -.�-' r
%� Value (Including labor and materials) /g Date 3 " 5' " /L/ 3
Owner 449437 S 1-4/y7% L /('
g Family ODn lez � Contractor � / ,. 3 1 " []Sin le F$ p F
DMu1ti- amily �
n (]Commercial OIndnatrisl
Number of Fixtures:
Bathtub Swap Pump
Piaster Sink Roof Drain
Shower _I_ San. Sump/Pump
Whirlpool Water Sofhtrer Sisk Soda
Lavern Service Sink Coffee Mkr
Lavatory Standpipe Rae
Shame Sink Site Drain
Toilet Garage
Kit Sink Surgeons Sink Waists Stn
Local Waste Sterilizer
Disposal Bar Sink Itx Chat
RPZ Valve Comm Ice Maker
Dishwasher 1 Bred= Sink Bidet
Trap
Floor Drain Clautm Sink
Urinal
Hose Bibb Exam Sink Beer T Ear Grease Trap °p Eye Wash Sm
Water Heater / F Prep Sink Dipper Well
J�Gas 0 Elect 0 P wrVnt Deduct Meier
Floor Sink Drink Fpm
Clothes Wshr Wtr Sewer Mtr
Hand Sink Wash Fntn Wtr Usage Mir
Lndry Tray Sink
Catch Basin Mrsc Fi>aures
lectric Contractor (for projects not requiring an EIV Form)
se / Nature of Work 2 4 ' 2 4
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Received Time Mar. 9. 2010 1 :56PM No. 0130